中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
6期
676-679
,共4页
戴晖%闫海春%张影%杨松景%刘越%商艳%赵净%梁慧玲%李芳%崔洪超%代小曼%王晓瑜%闫丽雪%邸慧斌%冯银妹
戴暉%閆海春%張影%楊鬆景%劉越%商豔%趙淨%樑慧玲%李芳%崔洪超%代小曼%王曉瑜%閆麗雪%邸慧斌%馮銀妹
대휘%염해춘%장영%양송경%류월%상염%조정%량혜령%리방%최홍초%대소만%왕효유%염려설%저혜빈%풍은매
心力衰竭%焦虑%抑郁%团体认知行为干预%综合措施
心力衰竭%焦慮%抑鬱%糰體認知行為榦預%綜閤措施
심력쇠갈%초필%억욱%단체인지행위간예%종합조시
Heart failure%Anxiety%Depression%Group cognitive behavioral therapy%Comprehensive measures
目的：探讨以团体认知行为干预为主的综合性心理干预措施对慢性心力衰竭患者的焦虑及抑郁状态的效果。方法选取2012年1月—2013年12月收治的100例慢性心力衰竭患者为研究对象，采用随机数字表法将患者分为干预组和对照组各50例。对照组患者在住院期间实施常规护理，干预组在此基础上进行团体认知行为干预为主的综合心理干预。采用焦虑自评量表（ SAS）和抑郁自评量表（ SDS）比较两组患者的焦虑和抑郁情况。结果基线时，总体焦虑发生率为25％，其中轻度11例，中度10例，重度4例；总体抑郁发生率为39％，其中轻度19例，中度14例，重度6例。对照组和干预组干预后SAS及SDS得分均优于干预前，干预组分别为（36．90±8．465），（27．53±7．162）分，较对照组的（40．91±8．019），（36．78±10．562）分改善更明显，且差异有统计学意义（t分别为9．244，10．335；P＜0．01）。结论团体认知行为干预为主的综合心理干预策略能有效地缓解和改善慢性心力衰竭患者的焦虑、抑郁情绪。
目的：探討以糰體認知行為榦預為主的綜閤性心理榦預措施對慢性心力衰竭患者的焦慮及抑鬱狀態的效果。方法選取2012年1月—2013年12月收治的100例慢性心力衰竭患者為研究對象，採用隨機數字錶法將患者分為榦預組和對照組各50例。對照組患者在住院期間實施常規護理，榦預組在此基礎上進行糰體認知行為榦預為主的綜閤心理榦預。採用焦慮自評量錶（ SAS）和抑鬱自評量錶（ SDS）比較兩組患者的焦慮和抑鬱情況。結果基線時，總體焦慮髮生率為25％，其中輕度11例，中度10例，重度4例；總體抑鬱髮生率為39％，其中輕度19例，中度14例，重度6例。對照組和榦預組榦預後SAS及SDS得分均優于榦預前，榦預組分彆為（36．90±8．465），（27．53±7．162）分，較對照組的（40．91±8．019），（36．78±10．562）分改善更明顯，且差異有統計學意義（t分彆為9．244，10．335；P＜0．01）。結論糰體認知行為榦預為主的綜閤心理榦預策略能有效地緩解和改善慢性心力衰竭患者的焦慮、抑鬱情緒。
목적：탐토이단체인지행위간예위주적종합성심리간예조시대만성심력쇠갈환자적초필급억욱상태적효과。방법선취2012년1월—2013년12월수치적100례만성심력쇠갈환자위연구대상，채용수궤수자표법장환자분위간예조화대조조각50례。대조조환자재주원기간실시상규호리，간예조재차기출상진행단체인지행위간예위주적종합심리간예。채용초필자평량표（ SAS）화억욱자평량표（ SDS）비교량조환자적초필화억욱정황。결과기선시，총체초필발생솔위25％，기중경도11례，중도10례，중도4례；총체억욱발생솔위39％，기중경도19례，중도14례，중도6례。대조조화간예조간예후SAS급SDS득분균우우간예전，간예조분별위（36．90±8．465），（27．53±7．162）분，교대조조적（40．91±8．019），（36．78±10．562）분개선경명현，차차이유통계학의의（t분별위9．244，10．335；P＜0．01）。결론단체인지행위간예위주적종합심리간예책략능유효지완해화개선만성심력쇠갈환자적초필、억욱정서。
Objective To investigate the effect of group cognitive behavioral therapy on anxiety and depression in patients with chronic heart failure ( CHF ) .Methods One hundred patients with CHF were recruited from January 2012 to December 2013 in cardiovascular department , and were divided into the intervention group and the control group , with 50 patients each .Comprehensive intervention including routine heart failure care and group cognitive behavioral therapy combined with other therapies was adopted on the patients in the intervention group .The Self-rating Anxiety Scale ( SAS ) and the Self-rating Depression Scale ( SDS) were used to compare the difference of anxiety and depression between groups .Results At the baseline, the incidence of anxiety was 25%, within which 11 patients had mild anxiety , and 10 patients had moderate anxiety, and 4 patients had severe anxiety.The incidence of depression was 39%, within which 19 patients had mild depression , and 14 patients had moderate depression , and 6 patients had severe depression .The score of SAS and SDS in the intervention group after intervention were (36.90 ±8.465) and (27.53 ±7.162), respectively, which were significantly lower than (40.91 ±8.019) and (36.78 ±10.562) in the control group (t=9.244,10.335, respectively;P<0.01).Conclusions Group cognitive behavioral therapy can effectively relieve the anxiety and depression in patients with chronic heart failure .
